Jason P Kellogg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A66130 Issued in CA

Practice address

17782 Cowan
Suite a
Irvine, CA 92614-6030

Phone

(949) 722-7118

Fax

(949) 722-7119

NPI assigned

Jul 3, 2006

Last updated

Jun 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wright State University Boonshoft School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Jason Kellogg MD IncGroup PAC ID 9032266127, 19 clinicians

Progeny TMS CorporationGroup PAC ID 9133585045, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Kellogg M.D. Inc

  dba Progeny Psychiatric Group

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1235391624
  Medicare reassignment Care Compare group NPD Authorized official
• Progeny Psychiatric Clinic a Medical Corporation

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1548735202
  Medicare reassignment Care Compare group Authorized official
• Progeny TMS Corporation

  • Mental Health Counselor
  • Irvine, CA
  • NPI 1558062265
  Medicare reassignment Care Compare group NPD
• Harbor Medical Associates, Inc.

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1205977444
  NPD (past)
• Hotel California by the Sea, LLC

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
  • NPI 1265867162
  NPD (past)
• Hotel California by the Sea, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huntington Beach, CA
  • NPI 1447712534
  NPD (past)
• Hotel California by the Sea, LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1467915462
  NPD (past)
• Hotel California by the Sea, LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1740742840
  NPD (past)
• Hotel California by the Sea, LLC

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
  • NPI 1851853956
  NPD (past)
• Progeny Mental & Behavioral Health

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1285152074
  NPD (past)
• Psychiatric Services Incorporated

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1417274036
  NPD (past)
• Shashita Inamdar MD Professional Corporation

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1902220809
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1952331530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17782 COWAN, STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-722-7118",
            "fax_number": "949-579-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 COWAN",
            "address_2": "SUITE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146030",
            "telephone_number": "949-722-7118",
            "fax_number": "949-722-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A66130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Kellas Cline, LMFT
• Laura Michelle Kellen, PT, DPT, ATC
• Elizabeth Keller
• Luke Keller
• Alexis Kellogg
• Kelly Kristin Wong, MD, Inc
• Kelly Tonelli Psychologist a Professional Corporation
• Lauren Kelly
• Michael Kelly, PHARMD
• Trevor Kelly

• Psychiatry Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.